Could weak muscles predict who gets relief from spinal injections?
NCT ID NCT07855419
First seen Oct 02, 2026 · Last updated Oct 08, 2026 · Updated 2 times
Summary
Researchers at Marmara University are studying whether sarcopenia, the age-related loss of muscle mass and strength, affects how well epidural steroid injections relieve pain in people with lumbar spinal stenosis. The study enrolls 70 adults aged 50 to 75 who have low back or leg pain from spinal narrowing and are scheduled for an interlaminar epidural steroid injection as part of routine care. Before the procedure, participants complete muscle assessments including a questionnaire, a handgrip test, and a sit-to-stand test, and their MRI scans are reviewed for muscle quality and stenosis severity. The team then tracks pain, function, walking ability, and quality of life at three weeks and three months to see whether sarcopenia and muscle features on MRI relate to how much relief patients get.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If muscle loss tracks with poorer pain relief, doctors could one day use simple strength tests to pick who benefits most from epidural steroid injections.
- What could go wrong
- This observational study follows 70 people and cannot prove cause and effect. Results may not apply to other clinics, and many factors beyond muscle mass shape how much an injection helps.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 70 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2026
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population will consist of patients aged 50-75 years with clinically and radiologically diagnosed lumbar spinal stenosis who are scheduled to undergo interlaminar epidural steroid injection as part of routine clinical care due to persistent symptoms despite conservative treatment. Participants will be classified according to sarcopenia status based on baseline assessments and followed for 3 months.
- Ages
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50 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Clinical and radiological diagnosis of lumbar spinal stenosis * Persistent symptoms despite conservative treatment and scheduled to undergo interlaminar epidural steroid injection as part of routine clinical care * Age between 50 and 75 years * Low back and/or leg pain for at least 3 months * Availability of lumbar magnetic resonance imaging (MRI) Exclusion Criteria: * History of lumbar fusion surgery * Lumbar epidural steroid injection within the previous 3 months * Prominent radiculopathy due to lumbar disc herniation * Severe motor deficit or an indication for surgical treatment * Polyneuropathy, neuromuscular disease, or neurological disease that may significantly affect muscle mass * Active malignancy or systemic inflammatory disease * Significant mobility limitation due to advanced hip or knee osteoarthritis * Cognitive impairment or communication problems that may prevent completion of study assessments * Coagulopathy or active infection constituting a contraindication to epidural injection * Inflammatory rheumatic disease requiring chronic corticosteroid therapy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Marmara University Pendik Training and Research Hospital
RECRUITINGIstanbul, Istanbul, 34899, Turkey (Türkiye)
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